Gagging with dentures is a common but manageable concern. Understanding its causes and implementing strategies can improve comfort and adaptation.
Why Gagging Occurs
The gag reflex is a natural defense mechanism preventing foreign objects from entering the throat. It triggers when sensitive areas in the mouth or throat, like the back of the throat or roof of the mouth, are stimulated. New dentures can be interpreted as foreign objects, initiating this response.
Physical factors contribute to gagging. Ill-fitting dentures, whether loose or tight, can shift and press on sensitive areas. An overextended or thick upper denture can irritate the soft palate or extend too far back, stimulating the gag zone. New wearers’ mouths are unaccustomed to dentures, heightening the reflex. Swollen gums after extractions also contribute.
Psychological factors also play a role. Anxiety and stress with dentures can intensify sensitivity. Anticipation of gagging can lead to its manifestation, creating a cycle of mental discomfort and physical symptoms. Previous negative dental experiences also contribute.
Solutions and Remedies
Adapting to new dentures involves several practical approaches. Gradual acclimation is key: wear dentures for short periods (15-30 minutes), then progressively increase duration. Start with soft foods to reduce discomfort and gagging, gradually introducing more solid foods as tolerance improves.
Techniques to desensitize the gag reflex can be beneficial. Deep breathing, focusing on slow nasal inhales and gentle mouth exhales, can calm the reflex and reduce anxiety. Gently brushing the roof of the mouth and back of the tongue with a soft toothbrush can gradually reduce sensitivity. Distraction techniques, like music or TV, can divert attention from the denture sensation.
Proper denture care supports comfort and prevents gagging. Adhesives stabilize dentures, providing a secure fit and reducing movement that stimulates the gag zone. Rinsing dentures after eating removes food debris. Regularly cleaning dentures with a non-abrasive cleaner prevents irritation.
When to Consult Your Dentist
While many gagging issues are manageable with self-help, professional dental advice is sometimes necessary. If gagging persists despite remedies, or interferes with eating, speaking, or comfort, consult a dentist or prosthetist.
Physical discomforts like pain, sore spots, or ulcers caused by dentures warrant a dental visit. These suggest incorrect fit and irritation. Loose or uncomfortable dentures, even with adhesives, may need professional adjustment or relining. Over time, jawbone shrinkage can alter denture fit, necessitating relines.
A dentist can assess needed adjustments or modifications, such as trimming or reshaping overextended or thick areas. Reevaluation of the fitting process may be necessary for severe gag reflex issues. For unmanageable gag reflexes, dentists might explore alternative solutions like partial or implant-supported dentures, which do not cover the roof of the mouth and eliminate the trigger.